BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    POWERED WHEELCHAIR

    MDR report key: 2923593 · Received January 22, 2013

    Report

    Report Number
    1525712-2013-00508
    Event Type
    Malfunction
    Date Received
    January 22, 2013
    Report Date
    January 19, 2013
    Manufacturer
    INVACARE TAYLOR STREET
    Product Code
    ITI
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MS, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    DEALER STATED THAT THE TDXSR-CG POWER CHAIR HAD A SHORT TO FRAME MALFUNCTION, THEN THE CHAIR WAS WORKING FINE. THE TIRES WERE REMOVED THEN REINSTALLED AND THE SHORT TO FRAME REOCCURRED. DEALER DOES NOT BELIEVE THE MOTORS TO BE BAD. POTENTIAL FOR THIS MALFUNCTION TO OCCUR WHILE DRIVING THE CHAIR, USER MAY BECOME STRANDED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    30540 POWERED WHEELCHAIR 890.3860 ITI INVACARE TAYLOR STREET TDXSR-CG

    Patients

    Seq Age Sex Outcome Treatment
    1 Other